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Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period

Year 2024, , 161 - 172, 16.08.2024
https://doi.org/10.20518/tjph.1459130

Abstract

Objective: This descriptive study examines Türkiye’s life expectancy trends from 2013 to 2022, encompassing the COVID-19 period.

Methods: This study used the Turkish Statistical Institute (TURKSTAT) cause of death data and explored trends in life expectancy and life disparity by using the line-integral decomposition model.

Results: According to results, before the pandemic, increased male life expectancy and reduced disparity resulted from improved outcomes in unintentional injuries and malignant neoplasms during adulthood. Female life expectancy gains were driven by declining cardiovascular diseases in old age. However, during COVID-19, males experienced a greater loss of life expectancy than females in youth and adulthood, while females faced higher mortality rates in old age than males. The pandemic has exacerbated the female-male gap in life expectancy and disparity, with all causes of death increasing except for an improvement in malignant neoplasms among males.

Conclusion: The study suggests prioritizing policies that address the health challenges faced by elderly females and young/adult males to mitigate the pandemic’s impact on public health.

Ethical Statement

The results of this study are based on anonymized registration data from TurkStat, so this study does not require ethics committee approval.

References

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  • Preston SH, Heuveline P, Guillot M. Demography: Measuring and Modeling Population Processes. Blackwell Publishing; 2001.
  • Aburto JM, van Raalte A. Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe. Demography. 2018;55(6):2071–96.
  • Colchero F, Rau R, Jones OR, Barthold JA, Conde DA, Lenart A, et al. The emergence of longevous populations. Proc Natl Acad Sci. 2016;113(48).
  • Smits J, Monden C. Length of life inequality around the globe. Soc Sci Med. 2009;68(6):1114–23.
  • van Raalte AA, Myrskylä M, Martikainen P. The role of smoking on mortality compression: An analysis of finnish occupa-tional social classes, 1971-2010. Demogr Res. 2015;32(1):589–620.
  • Edwards RD, Tuljapurkar S. Inequality in Life Spans and a New Perspective on Mortality Convergence Across Industrial-ized Countries. Popul Dev Rev. 2005;31(4):645–74.
  • Zhang Z, Vaupel JW. The age separating early deaths from late deaths. Demogr Res. 2009;20:721–30.
  • Vaupel JW, Zhang Z, van Raalte AA. Life expectancy and disparity: an international comparison of life table data. BMJ Open. 2011;1(1):e000128–e000128.
  • Shkolnikov VM, Andreev EM, Zhang Z, Oeppen J, Vaupel JW. Losses of expected lifetime in the United States and other developed countries: Methods and empirical analyses. Demography. 2011;48(1):211–39.
  • Keyfitz N. Improving life expectancy: an uphill road ahead. Am J Public Health. 1978;68(10):654–6.
  • Fries JF. The Compression of Morbidity. Milbank Mem Fund Q Health Soc. 1983;61(3):397–419.
  • Seaman R, Leyland AH, Popham F. Increasing inequality in age of death at shared levels of life expectancy: A comparative study of Scotland and England and Wales. SSM - Popul Heal. 2016;2:724–31.
  • Sasson I. Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010. Demog-raphy. 2016;53(2):269–93.
  • WHO. WHO methods and data sources for country-level causes of death 2000-2016. Geneva; 2018.
  • Özdemir R, Rao C, Öcek Z, Dinç Horasan G. Reliable mortality statistics for Turkey: Are we there yet? BMC Public Health. 2015;15(1):545. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1904-1
  • Yayla Z. Assessment of the completeness and timeliness of death registration in Turkey: 2009-2015. [Ankara]: Master thesis, Hacettepe University; 2016.
  • van Raalte AA, Caswell H. Perturbation Analysis of Indices of Lifespan Variability. Demography. 2013;50(5):1615–40.
  • Kannisto V. Mode and dispersion of the length of life. Popul English Sel. 2001;13(1):159–72.
  • Riffe T. DemoDecomp: Decompose Demographic Functions. R package version 1.0.1. 2018.
  • Horiuchi S, Wilmoth JR, Pletcher SD. A decomposition method based on a model of continuous change. Demography. 2008;45(4):785–801.
  • TURKSTAT. Single age life table for Turkey by sex, 2013-2022. 2023.
  • Aburto JM, Wensink M, van Raalte A, Lindahl-Jacobsen R. Potential gains in life expectancy by reducing inequality of lifespans in Denmark: an international comparison and cause-of-death analysis. BMC Public Health. 2018;18(1):831.
  • Seligman B, Greenberg G, Tuljapurkar S. Equity and length of lifespan are not the same. Proc Natl Acad Sci U S A. 2016;113(30):8420–3.
  • Zheng Y, Chen M, Yip PS. A Decomposition of Life Expectancy and Life Disparity: Comparison Between Hong Kong and Ja-pan. Int J Heal Policy Manag. 2020;
  • Iadecola C, Anrather J, Kamel H. Effects of COVID-19 on the Nervous System. Cell. 2020;183(1):16-27.e1.
  • Aburto JM, Tilstra AM, Floridi G, Dowd JB. Significant impacts of the COVID-19 pandemic on race/ethnic differences in US mortality. Proc Natl Acad Sci. 2022;119(35).
  • Brown MJ, Adkins-Jackson PB, Sayed L, Wang F, Leggett A, Ryan LH. The Worst of Times: Depressive Symptoms Among Racialized Groups Living With Dementia and Cognitive Impairment During the COVID-19 Pandemic. J Aging Health. 2023;
  • Austad SN. Why women live longer than men: Sex differences in longevity. Gend Med. 2006;3(2):79–92.
  • Beltrán-Sánchez H, Finch CE, Crimmins EM. Twentieth century surge of excess adult male mortality. Proc Natl Acad Sci. 2015;112(29):8993–8.
  • Glei DA, Horiuchi S. The narrowing sex differential in life expectancy in high-income populations: Effects of differences in the age pattern of mortality. Popul Stud (NY). 2007;61(2):141–59.
  • Schöley J, Aburto JM, Kashnitsky I, Kniffka MS, Zhang L, Jaadla H, et al. Life expectancy changes since COVID-19. Nat Hum Behav. 2022;6(12):1649–59.
  • van Raalte AA, Kunst AE, Deboosere P, Leinsalu M, Lundberg O, Martikainen P, et al. More variation in lifespan in lower educated groups: Evidence from 10 European countries. Int J Epidemiol. 2011;40(6):1703–14.
  • Kisa A. Turkey’s COVID-19 strategy: “the West is jealous of us.” J Public Health Policy. 2021;42(4):612–21.
  • Kisa S, Kisa A. Under-reporting of COVID-19 cases in Turkey. Int J Health Plann Manage. 2020;35(5):1009–13.
Year 2024, , 161 - 172, 16.08.2024
https://doi.org/10.20518/tjph.1459130

Abstract

References

  • Weeks JR. Population: An Introduction to Concepts and Issues , Tenth Edition. 10th ed. Wadsworth Publishing; 2007.
  • Preston SH, Heuveline P, Guillot M. Demography: Measuring and Modeling Population Processes. Blackwell Publishing; 2001.
  • Aburto JM, van Raalte A. Lifespan Dispersion in Times of Life Expectancy Fluctuation: The Case of Central and Eastern Europe. Demography. 2018;55(6):2071–96.
  • Colchero F, Rau R, Jones OR, Barthold JA, Conde DA, Lenart A, et al. The emergence of longevous populations. Proc Natl Acad Sci. 2016;113(48).
  • Smits J, Monden C. Length of life inequality around the globe. Soc Sci Med. 2009;68(6):1114–23.
  • van Raalte AA, Myrskylä M, Martikainen P. The role of smoking on mortality compression: An analysis of finnish occupa-tional social classes, 1971-2010. Demogr Res. 2015;32(1):589–620.
  • Edwards RD, Tuljapurkar S. Inequality in Life Spans and a New Perspective on Mortality Convergence Across Industrial-ized Countries. Popul Dev Rev. 2005;31(4):645–74.
  • Zhang Z, Vaupel JW. The age separating early deaths from late deaths. Demogr Res. 2009;20:721–30.
  • Vaupel JW, Zhang Z, van Raalte AA. Life expectancy and disparity: an international comparison of life table data. BMJ Open. 2011;1(1):e000128–e000128.
  • Shkolnikov VM, Andreev EM, Zhang Z, Oeppen J, Vaupel JW. Losses of expected lifetime in the United States and other developed countries: Methods and empirical analyses. Demography. 2011;48(1):211–39.
  • Keyfitz N. Improving life expectancy: an uphill road ahead. Am J Public Health. 1978;68(10):654–6.
  • Fries JF. The Compression of Morbidity. Milbank Mem Fund Q Health Soc. 1983;61(3):397–419.
  • Seaman R, Leyland AH, Popham F. Increasing inequality in age of death at shared levels of life expectancy: A comparative study of Scotland and England and Wales. SSM - Popul Heal. 2016;2:724–31.
  • Sasson I. Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010. Demog-raphy. 2016;53(2):269–93.
  • WHO. WHO methods and data sources for country-level causes of death 2000-2016. Geneva; 2018.
  • Özdemir R, Rao C, Öcek Z, Dinç Horasan G. Reliable mortality statistics for Turkey: Are we there yet? BMC Public Health. 2015;15(1):545. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1904-1
  • Yayla Z. Assessment of the completeness and timeliness of death registration in Turkey: 2009-2015. [Ankara]: Master thesis, Hacettepe University; 2016.
  • van Raalte AA, Caswell H. Perturbation Analysis of Indices of Lifespan Variability. Demography. 2013;50(5):1615–40.
  • Kannisto V. Mode and dispersion of the length of life. Popul English Sel. 2001;13(1):159–72.
  • Riffe T. DemoDecomp: Decompose Demographic Functions. R package version 1.0.1. 2018.
  • Horiuchi S, Wilmoth JR, Pletcher SD. A decomposition method based on a model of continuous change. Demography. 2008;45(4):785–801.
  • TURKSTAT. Single age life table for Turkey by sex, 2013-2022. 2023.
  • Aburto JM, Wensink M, van Raalte A, Lindahl-Jacobsen R. Potential gains in life expectancy by reducing inequality of lifespans in Denmark: an international comparison and cause-of-death analysis. BMC Public Health. 2018;18(1):831.
  • Seligman B, Greenberg G, Tuljapurkar S. Equity and length of lifespan are not the same. Proc Natl Acad Sci U S A. 2016;113(30):8420–3.
  • Zheng Y, Chen M, Yip PS. A Decomposition of Life Expectancy and Life Disparity: Comparison Between Hong Kong and Ja-pan. Int J Heal Policy Manag. 2020;
  • Iadecola C, Anrather J, Kamel H. Effects of COVID-19 on the Nervous System. Cell. 2020;183(1):16-27.e1.
  • Aburto JM, Tilstra AM, Floridi G, Dowd JB. Significant impacts of the COVID-19 pandemic on race/ethnic differences in US mortality. Proc Natl Acad Sci. 2022;119(35).
  • Brown MJ, Adkins-Jackson PB, Sayed L, Wang F, Leggett A, Ryan LH. The Worst of Times: Depressive Symptoms Among Racialized Groups Living With Dementia and Cognitive Impairment During the COVID-19 Pandemic. J Aging Health. 2023;
  • Austad SN. Why women live longer than men: Sex differences in longevity. Gend Med. 2006;3(2):79–92.
  • Beltrán-Sánchez H, Finch CE, Crimmins EM. Twentieth century surge of excess adult male mortality. Proc Natl Acad Sci. 2015;112(29):8993–8.
  • Glei DA, Horiuchi S. The narrowing sex differential in life expectancy in high-income populations: Effects of differences in the age pattern of mortality. Popul Stud (NY). 2007;61(2):141–59.
  • Schöley J, Aburto JM, Kashnitsky I, Kniffka MS, Zhang L, Jaadla H, et al. Life expectancy changes since COVID-19. Nat Hum Behav. 2022;6(12):1649–59.
  • van Raalte AA, Kunst AE, Deboosere P, Leinsalu M, Lundberg O, Martikainen P, et al. More variation in lifespan in lower educated groups: Evidence from 10 European countries. Int J Epidemiol. 2011;40(6):1703–14.
  • Kisa A. Turkey’s COVID-19 strategy: “the West is jealous of us.” J Public Health Policy. 2021;42(4):612–21.
  • Kisa S, Kisa A. Under-reporting of COVID-19 cases in Turkey. Int J Health Plann Manage. 2020;35(5):1009–13.
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Zehra Yayla Enfiyeci 0000-0002-3088-7146

Alanur Çavlin 0000-0001-9714-9984

Early Pub Date August 16, 2024
Publication Date August 16, 2024
Submission Date March 26, 2024
Acceptance Date August 4, 2024
Published in Issue Year 2024

Cite

APA Yayla Enfiyeci, Z., & Çavlin, A. (2024). Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period. Turkish Journal of Public Health, 22(2), 161-172. https://doi.org/10.20518/tjph.1459130
AMA Yayla Enfiyeci Z, Çavlin A. Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period. TJPH. August 2024;22(2):161-172. doi:10.20518/tjph.1459130
Chicago Yayla Enfiyeci, Zehra, and Alanur Çavlin. “Trends in Life Expectancy and Life Disparity in Türkiye before and During the COVID-19 Period”. Turkish Journal of Public Health 22, no. 2 (August 2024): 161-72. https://doi.org/10.20518/tjph.1459130.
EndNote Yayla Enfiyeci Z, Çavlin A (August 1, 2024) Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period. Turkish Journal of Public Health 22 2 161–172.
IEEE Z. Yayla Enfiyeci and A. Çavlin, “Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period”, TJPH, vol. 22, no. 2, pp. 161–172, 2024, doi: 10.20518/tjph.1459130.
ISNAD Yayla Enfiyeci, Zehra - Çavlin, Alanur. “Trends in Life Expectancy and Life Disparity in Türkiye before and During the COVID-19 Period”. Turkish Journal of Public Health 22/2 (August 2024), 161-172. https://doi.org/10.20518/tjph.1459130.
JAMA Yayla Enfiyeci Z, Çavlin A. Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period. TJPH. 2024;22:161–172.
MLA Yayla Enfiyeci, Zehra and Alanur Çavlin. “Trends in Life Expectancy and Life Disparity in Türkiye before and During the COVID-19 Period”. Turkish Journal of Public Health, vol. 22, no. 2, 2024, pp. 161-72, doi:10.20518/tjph.1459130.
Vancouver Yayla Enfiyeci Z, Çavlin A. Trends in life expectancy and life disparity in Türkiye before and during the COVID-19 period. TJPH. 2024;22(2):161-72.

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